Difference between revisions of "Trapezium fracture"

(Disposition)
 
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==Management==
 
==Management==
 +
{{General Fracture Management}}
 +
 +
===Immobilization===
 
*Short arm [[thumb spica splint]]
 
*Short arm [[thumb spica splint]]
*Displaced fracture >1mm or diastasis >2mm require surgery
 
  
 
==Disposition==
 
==Disposition==
 +
*Discharge with close hand/ortho follow up
  
 +
===Specialty Care===
 +
*Displaced fracture >1mm or diastasis >2mm require surgery
  
 
==See Also==
 
==See Also==

Latest revision as of 04:48, 18 September 2019

Background

  • Occurs via direct blow to thumb or dorsiflexion and radial deviation force
  • Major complication is nonunion

Clinical Features

  • Painful thumb movement
  • Weak pinch
  • TTP at apex of anatomic snuffbox, base of thenar eminence

Differential Diagnosis

Carpal fractures

AP view

Evaluation

  • Hand x-ray (best seen on 20-degree pronated oblique view)
Trapezium fracture

Management

General Fracture Management

Immobilization

Disposition

  • Discharge with close hand/ortho follow up

Specialty Care

  • Displaced fracture >1mm or diastasis >2mm require surgery

See Also

References